Active NPI
Rachel Allison Donaldson
- Speech-Language Pathologist
- Lorain, OH
National Provider Identifier
1104593037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- COND.20211830-SP
- Practice address
- 2601 Pole Ave
Lorain, OH 44052-4303 - Phone
- (440) 830-4041
- NPI assigned
- Aug 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | COND.20211830-SP | OH | Primary |
Addresses
Primary practice location
2601 Pole Ave
Lorain, OH 44052-4303
Mailing address
1524 Chesterland Ave
Lakewood, OH 44107-4824
Phone (216) 235-4340
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OH3391167 | Other | OH | OHIO BOARD OF EDUCATION - 5-YEAR PUPIL SERVICES |
| COND.20211830-SP | Other | OH | OHIO SPEECH AND HEARING PROFESSIONALS BOARD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | racheld1524@sbcglobal.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COND.20211830-SP | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1104593037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 CHESTERLAND AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441074824",
"telephone_number": "216-235-4340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 POLE AVE",
"city": "LORAIN",
"state": "OH",
"postal_code": "440524303",
"telephone_number": "440-830-4041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALDSON",
"first_name": "RACHEL",
"middle_name": "ALLISON",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-27",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "COND.20211830-SP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO BOARD OF EDUCATION - 5-YEAR PUPIL SERVICES",
"identifier": "OH3391167",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO SPEECH AND HEARING PROFESSIONALS BOARD",
"identifier": "COND.20211830-SP",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "racheld1524@sbcglobal.net",
"affiliation": "N",
"endpointDescription": "racheld1524@sbcglobal.net",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2601 Pole Ave",
"city": "Lorain",
"state": "OH",
"country_code": "US",
"postal_code": "440524303",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.